scholarly journals Clozapine initiation in the community

2002 ◽  
Vol 26 (9) ◽  
pp. 339-341 ◽  
Author(s):  
Aileen O'Brien ◽  
Mike Firn
Keyword(s):  
Adverse Events ◽  
Assertive Community Treatment ◽  
Community Treatment ◽  
Clinical Implications ◽  
Treatment Team ◽  
Serious Adverse Events ◽  
Assertive Community Treatment Team ◽  
To Come ◽  
At Home

Aims and MethodThe study aims to describe the experience of an assertive community treatment team when commencing clozapine at home rather than in hospital, following a locally-devised policy. Any failed attempts and problems experienced are described.ResultsThere have been no serious adverse events with 13 patients who have been started on clozapine at home.Clinical ImplicationsFor an assertive community treatment team, home-initiation of clozapine is a practical option, particularly when patients refuse to come in to hospital.

the Implantation of Assertive Community Treatment in Spain

2009 ◽  
Vol 24 (S1) ◽  
pp. 1-1
Author(s):  
J.J. Martinez Jambrina
Keyword(s):  
Assertive Community Treatment ◽  
Mental Illnesses ◽  
Community Treatment ◽  
Treatment Team ◽  
Community Based ◽  
Assertive Community Treatment Team ◽  
Effective Teams ◽  
Start Up ◽  
Practical Support ◽  
Community Based Programs

Assertive Community Treatment (ACT) or Assertive outreach is not a treatment but a way of organising and delivering care via a specialised team to provide intensive, highly co-ordinated and flexible support and treatment for clients with longer term needs living in the community. to be effective, teams must deliver a mix of evidence based psychosocial intervention and intensive practical support from multi-skilled and multi-disciplinary practitioners. This lecture will focus on an overview of ACT development in Spain and a number of issues affecting the implementation of ACT services. the Assertive Community Treatment team of Avilés (Asturias, Spain) was the first ACT service-delivery model implemented in Spain. It started in 1999 as an effort to give an answer to the increasing needs of patients with the most severe and persistent mental illnesses and their families. Due to lack of previous community-based programs following ACT model in Spain, our development process and start-up procedure have guided a number of similar teams all over our country.

scholarly journals 520 - Benefits of Assertive Community Treatment for Persons with Severe Mental Illness and Cancer

2021 ◽  
Vol 33 (S1) ◽  
pp. 69-69
Author(s):  
Monica Taylor-Desir
Keyword(s):  
Breast Cancer ◽  
Mental Illness ◽  
Cancer Treatment ◽  
Severe Mental Illness ◽  
Assertive Community Treatment ◽  
Community Treatment ◽  
Case Vignette ◽  
Treatment Team ◽  
Assertive Community Treatment Team

Breast cancer, the most commonly diagnosed cancer in women worldwide, is responsible for one in six cancer deaths (Sung, H. et al., 2021). Women with schizophrenia have an associated increased incidence of breast cancer compared to the general population (Grassi & Riba, 2020). Patients with severe mental illness are noted to have disparities in accessing and initiating cancer treatment especially among those who are older (Iglay et al., 2017). A case vignette will be presented to illustrate the care and interventions provided by an American Assertive Community Treatment team which fostered supportive treatment engagement and improved the quality of life for a patient that chose to forgo recommended cancer treatment. This presentation will highlight the essential nature of the Assertive Community Treatment team in supporting decisional capacity, facilitation of a patient’s grief and acknowledgement of one’s own mortality as well as incorporation of medical and palliative care. The attendee will appreciate the importance of the multidisciplinary approach for persons with chronic mental illness and co-morbid cancer diagnoses.

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